| Hoosier Pediatric Dental Group | |
|
306 S Baldwin Ave Marion IN 46952-3528 | |
| (765) 201-0313 | |
| Not Available |
| Full Name | Hoosier Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 306 S Baldwin Ave, Marion, Indiana |
| Authorized Official Name and Position | Ajay P Joshi (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 3172137454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoosier Pediatric Dental Group 9842 Beaver Creek Ln Suite 3312 Fishers IN 46037-6532 Ph: (765) 201-0313 | Hoosier Pediatric Dental Group 306 S Baldwin Ave Marion IN 46952-3528 Ph: (765) 201-0313 |
| NPI Number | 1053711606 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053711606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12010878A (Indiana) | Primary |
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